Rapid Response Specialist Nurse

Central London Community Healthcare NHS Trust
Hemel Hempstead
£35,392 to £42,503 a year per annum, inclusive of HCAS
Closing date
2 Jun 2023

View more

Band 6
Contract Type
Full Time
CLCH Hertfordshire Adult Community Services - CLCH NHS Trust provides a range of Community Services, and the Hertfordshire Division is recruiting!

This vacancy is for a rapid response specialist nurse in our Unplanned Care team. The unplanned care team provides care across three pathways delivered over 7-days a week 8am to 10pm - Rapid Response (RR), Early Intervention Vehicle (EIV) and Discharge to Assess (DTA). All pathways are delivered in a patient's usual home environment. The overarching aim of the service is to help ease the current pressures in ED and acute hospitals. It is also to provide a safe and timely discharge from hospital and community bedded units for patients requiring urgent therapy input intheir homes.
  • RR focuses on preventing avoidable hospital admissions for patients with acute ill-health conditions by providing holistic assessment and treatments. This could be for up to 5 days.
  • EIV is a joint pathway, delivered with Herts County Council delivering crisis management to patients offering them a holistic assessment - physical, functional and social all in one assessment.
  • DTA pathway aims to support the discharge of patients from acute orcommunity hospital wards to assess and manage rehabilitation/therapy needs, at the point that the patient is medically well enough to go home.

Main duties of the job

We are looking for a nurse or paramedic with acute assessment skills to join our multi-disciplinary team of Paramedics, Nurses, Health and Rehab Assistants, Occupational Therapists, Physiotherapists, Administrators and a new addition into the team - General Practitioners.

Candidates should be experienced clinicians with sound clinical knowledge and proven experience in emergency or community clinical environments. These skills are necessary to adequately assess urgent cases in the community. You will need to be adaptable to operate in a fast-moving environment and possess the clinical skills and ability to work autonomously in a larger team.

Candidates should have excellent communication skills and the ability to provide care as determined by clinical assessments is essential. The ability to keep accurate clinical records and have good clerical/ administrative skills is essential.

Continual personal development is very much encouraged and funding for relevant training will always be considered. Modules such as the non-medical prescribing and advanced assessment are popular choices within our team.

Applicants must hold a full, valid, UK driving licence and have access to a car to use for business purposes (unless you have a disability as defined by the Equality Act 2010)

About us

Central London Community Healthcare (CLCH) is one of the largest community healthcare organisations in London and Hertfordshire, providing our services to diverse communities/boroughs in 11 London Boroughs - Barnet, Brent, Ealing, Hammersmith & Fulham, Harrow, Hounslow, Kensington and Chelsea, Merton, Richmond, Wandsworth, Westminster - and Hertfordshire.

Just as we care about our patients' wellbeing, we care about yours!

We can offer you:
  • A comprehensive induction into the community service followed by a local induction to introduce you to the role
  • Single occupancy accommodation in Central London - (we can help you find accommodation in London, support you with your deposit)
  • Car lease scheme *T& C's apply
  • Flexible working options
  • Annual travel card loan
  • Training, support and development in your career

As an NHS trust,we are committed to equal opportunities and ensuring equality and diversity in the workplace.

We have a number of staff networks: Disability and Wellbeing Network (DAWN), Race Equality Network and the Rainbow Network which supports LGBT+ staff. Each network has a champion who is an executive director at the Trust and they hold regular meetingsto discuss issues andmake plans to improve CLCH .

To have a full look at our benefits and what it's like working for us please go here:https://www.clch.nhs.uk/job/pay-and-benefits

Job description

Job responsibilities

  • The post holder will work autonomously and in collaboration with other health care professionals, statutory and voluntary agencies and the Planned Care locality teams to deliver excellent standards of patient care for patients requiring support in unplanned care.
  • To deliver high quality, skilled clinical care to patients at home and provide rapid response, rehabilitative and post-acute care in a variety of community settings including weekends and bank holidays. The service operates through pre-rostered shift patterns spanning 8am - 10pm 7 days a week
  • To utilise specialist skills and knowledge to holistically assess needs and provide short term programmes of nursing care for vulnerable adults based on evidence-based pracitce
  • To work, as required, on a flexible basis to cover all roles required within the team including in-reach support at Watford General Hospital.
  • To work within and across professional and organisational boundaries, liaising with GPs other professionals and statutory and voluntary agencies to deliver individualised and expert clinical care to a high standard to clients.

Please refer to the attached job description for full list of responsibilities.

Person Specification



  • Registered Nurse with current NMC registration OR Paramedic with HCPC registration
  • Evidence of recent and continuing post-registration professional education and training
  • Evidence of recent and continuing post-registration professional education and training


  • Experience of working in Primary Care/ Accident & Emergency.
  • Experience of assessing and providing quality care to people with Long Term Conditions
  • Qualifications in Community and/ or Accident and Emergency health care
  • Qualification in teaching or practice based learning
  • Physical Clinical Assessment Skills Course or willingness to undertake the course
  • Independent prescribing qualification



  • Evidence of recent substantial post-registration professional clinical experience
  • Extensive range of clinical skills and experience including, e.g. IV therapy, venepuncture, cannulation, rehabilitation
  • Experience of working within a multi-disciplinary team
  • Experience of working with people with complex health needs
  • Experience of supervising junior staff and co-ordinating daily activities on a regular basis
  • Experience of undertaking comprehensive health needs assessment and writing care plans


  • Experience of implementing evidence-based care in practice



  • Hold a full, valid, UK driving licence and have access to a car to use for business purposes (unless you have a disability as defined by the Equality Act 2010)
  • Able to carry out the duties of the post with or without adaptations
  • ble to travel around the division
  • Able to work flexible shifts
  • Able to provide evidence of where you have demonstrated the Trust's Values and Behaviours
  • Able to meet the required IT Skills for the post

Skills and Knowledge


  • Skills: Has high level of competence in a range of clinical skills
  • Ability to work in a team
  • Able to work without direct supervision, planning and prioritising own workload and that of others
  • Able to delegate work effectively and safely
  • Ability to work under pressure
  • Ability to risk assess a situation and act appropriately
  • Ability to communicate effectively both verbally and in writing
  • Ability to identify own and others learning and development needs and actively seek ways to meet those needs
  • Basic IT skills including use of Microsoft Office package and email
  • Knowledge of: Principles of care for patients with long term conditions, relevant NSFs and other national standards
  • NMC/HCPC Codes of Professional Conduct and application to practice
  • Personal Development Planning o Primary Health Care - structures and roles (overview)
  • The audit process o Applying evidence based care into practice
  • The principles of clinical governance and application to practice
  • Clinical supervision - purpose and application
  • Managing difficult situations and conflict resolution
  • How equal opportunities can be implemented in practice


  • Able to lead and motivate a team

Disclosure and Barring Service Check

This post is subject to the Rehabilitation of Offenders Act (Exceptions Order) 1975 and as such it will be necessary for a submission for Disclosure to be made to the Disclosure and Barring Service (formerly known as CRB) to check for any previous criminal convictions.

UK Registration

Applicants must have current UK professional registration. For further information please see NHS Careers website (opens in a new window).

Employer details

Employer name

Central London Community Health Trust


Hemel One (HQ)

Hemel Hempstead


Any attachments will be accessible after you click to apply.


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